Credentialing Manager
About the role
</strong></h3> <p>Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. </p> <p>Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment.
We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. </p> <p>As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like.
</p></div><h3><strong>About the Role</strong></h3> <div> <p>The Credentialing & Provider Enrollment Manager will lead Charlie Health’s credentialing function and the team of specialists responsible for health plan enrollment across Medicaid and Commercial payors.
</p> <p>You will partner cross-functionally with Commercial Strategy, RevOps, RCM, and Compliance to expand delegated credentialing statuses, resolve problem payors, and continuously improve how the team operates, including through automation and AI-enabled tooling.
</p> <p>We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions.
)</li> <li>Partner with RevOps to align on KPIs and incentive structure, and with RCM to troubleshoot problem payors and credentialing-related denials</li> <li>Identify and implement process improvements that increase team efficiency, including automation and AI-enabled workflows</li> <li>Oversee day-to-day payor and Medicaid enrollment across group and individual submissions, ensuring timely, accurate, and compliant applications tracked in Salesforce</li> </ul> </div> <h3>Requirements</h3> <div> <ul> <li>Bachelor’s degree</li> <li>5+ years of experience in provider credentialing and/or health plan enrollment</li> <li>Direct, hands-on experience owning or operating a delegated credentialing program is required, including primary source verification, credentialing committee operations, and NCQA standards</li> <li>2+ years of people management experience leading a credentialing or enrollment team preferred</li> <li>Experience with both Medicaid and Commercial payor enrollment</li> <li>Comfort with process improvement and a track record of leveraging automation and emerging technologies (including AI) to streamline operations</li> <li>Strong cross-functional collaboration skills across RevOps, RCM, Commercial Strategy, and Compliance</li> <li>Work authorized in the United States and native or bilingual English proficiency</li> <li>Familiarity with and willingness to use cloud-based communication software — Google Suite, Slack, Zoom, Dropbox, Salesforce</li> </ul> <h3 class="p1"><strong>Benefits</strong></h3> <p class="p2">Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.
</span></em></div> <div> </div> <div><em>T</em><em>he total target base compensation for this role will be between $70,000 and $77,500 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus.
Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. </em></p> <p><em>Please be cautious of potential recruitment fraud. com/careers/current-openings.
Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. com email addresses.
</em></p> <p><em>Recruiting agencies, please do not submit unsolicited referrals for this or any open role. </em></p> <p><em>At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong.
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